Widening Digital Participation

Health & Care Innovation ExpoMarch 2014

Why this matters: digital skills to combat health inequalities

Bob Gann, Programme Director, Widening Digital Participation,

NHS England

A significant increase in the use of technology to help people to manage their own health and care

An NHS for everyone regardless of income, gender, location, age, ethnicity or any other characteristic

NHS England Mandate, 2013

Digital exclusion

• 7 million adults in UK have never been online

• 4 million of these are over 65

• 5 million of these have a disability or long term condition

One in six people are over 65. People over 65 account for more

than half of all NHS spend

One in four people have a long term condition or disability . Long term conditions account for 70% of all NHS spend. People with LTCs & disabilities are three times more

likely never to have used the internet than those without

disabilities.

Those in old age

Digitally excluded make most use of NHS & experience greatest health inequality

Health literacy & health inequalities

• Half the population lack literacy & numeracy skills to use health information effectively

• 11 million adults in UK lack basic digital literacy skills• Information & services are increasingly digital - digital skills are

increasingly essential to health literacy• Low health literacy closely linked to poorer health outcomes &

mortality

Bostock,s & Steptoe, Association between low functional health literacy & mortality in older adults. British Medical Journal 2012; 344

Reducing inequalities: training citizens in basic

online skills to boost health literacy

About Tinder Foundation

Helen MilnerChief Executive

Tinder Foundation

Local is familiar, nearby, where help is on hand

Optimised for mobile learning

People learning how to use it and using technology to help change to happen

Digital

150,000 people

learning basic

online skills

100,000 people

engage

d in

digital health

50,000 trained in

digital health

35,000

job seekers

helped to

use UJM*

30,000 skilled

via Digital Deal

25,000 users on CHT*

8,000 ESOL*

* UJM = Universal Job Match* CHT = Community How To* ESOL = English for Speakers of Other Languages

Scale of Impact (April 2013 – March 2014)

5,000 hyperlocal partners

25,000 volunteers

Digital for a better future

✖Digital Exclusion: poverty, lack of opportunity, inefficiencies, frustrations, under employment, health inequalities, no-go communities, a divided nation

Digital Growth: high employment, decent jobs, decent wages, prevention of poor health and crime, successful businesses, excellent education, fulfilled people, a digital nation

Delivering the programme

Bob Gann, Programme Director, Widening Digital Participation,

NHS England

100,000 people engaged in digital health information

50,000 people trained to use online health resources

Online Health Course

Marketing Campaigns • Let’s Get Digital for Get online week (October 2013)• Start Something Online (February 2014)

Real time transparent performance data

Map

15 Digital Health Flagships

Trial innovative approaches working in local communities including: • Bromley-by-Bow Healthy Living Centre – social prescribing • Southampton Libraries – working with Macmillan Cancer Support• Cooke e-Learning in Leicester – digital skills for Asian community• Mayfair Centre in Shropshire – rural communities• Inspire Communities in Hull – social isolation & poor mental health• Heeley Trust in Sheffield – digital skills surgeries in GP practice• Breezie – easy to use tablet interface for older people• 68 York Street, Leeds – multi-agency working with homeless people

Case study

Dan Barnett, Healthy Leeds Partnership